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Risk Adjustment Provider Educator Jobs (NOW HIRING)

$56K - $101K/yr

Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. * Analysis ...

Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. Analysis of ...

... Risk Adjustment activities. This position is responsible for the strategy, execution and ... Partner with Network and Clinical Services to design provider-facing education, scorecards, and ...

Risk Adjustment Director

Scotts Valley, CA · On-site

$96.15 - $120.19/hr

Partner with the Provider Relations Director to train and support doctors on compliant, accurate ... Minimum Education and Experience Qualification Requirements Education * Bachelor's degree in ...

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Risk Adjustment Provider Educator information

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$18

$43

$68

How much do risk adjustment provider educator jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for risk adjustment provider educator in the United States is $43.95, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $52.40 per hour, depending on experience, location, and employer.

What is a risk adjustment provider educator?

A Risk Adjustment Provider Educator is a healthcare professional who trains and supports medical providers on proper documentation and coding practices for risk adjustment programs. These educators help ensure that providers accurately capture patient diagnoses, which affects health plan payments and compliance with regulatory requirements. Their role is essential in promoting accurate risk scores, improving quality of care, and minimizing potential errors in coding and documentation. They may also review medical records, provide feedback, and conduct educational sessions for providers and staff.

What are the key skills and qualifications needed to thrive as a risk adjustment provider educator?

To thrive as a Risk Adjustment Provider Educator, you need in-depth knowledge of risk adjustment methodologies, coding guidelines (such as ICD-10-CM), and healthcare regulations, typically supported by a clinical or coding certification (e.g., CPC, CRC, CCS). Familiarity with electronic health record (EHR) systems, coding software, and data analytics tools is crucial. Strong communication, presentation, and interpersonal skills help educate and engage providers effectively. These competencies ensure accurate documentation, compliance, and optimized risk adjustment outcomes for healthcare organizations.

What are some typical challenges faced by a risk adjustment provider educator, and how can they be addressed?

Risk Adjustment Provider Educators often face challenges such as ensuring providers understand complex coding requirements, maintaining engagement during training sessions, and keeping up with frequent regulatory updates. To address these challenges, educators can use clear, real-world examples, interactive training methods, and ongoing communication to reinforce key concepts. Collaborating closely with coding and compliance teams also helps educators stay current and provide the most accurate guidance to providers.

What is the difference between Risk Adjustment Provider Educator vs Risk Adjustment Coding Specialist?

AspectRisk Adjustment Provider EducatorRisk Adjustment Coding Specialist
CredentialsCertifications in risk adjustment, healthcare educationCertifications in medical coding, CPC or CCS
Work EnvironmentTraining sessions, educational programs, provider officesMedical offices, coding departments, billing teams
Employer & IndustryHealth plans, provider organizations, healthcare education firmsHospitals, clinics, billing companies

While both roles focus on risk adjustment, the Risk Adjustment Provider Educator primarily trains healthcare providers on documentation and compliance, whereas the Risk Adjustment Coding Specialist concentrates on accurate medical coding to support risk adjustment calculations. The educator role emphasizes teaching and communication, while the coding specialist focuses on detailed coding accuracy.

More about Risk Adjustment Provider Educator jobs

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The most popular types of Risk Adjustment Provider Educator jobs are:

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States with the most job openings for Risk Adjustment Provider Educator jobs include:

What are popular job titles related to Risk Adjustment Provider Educator jobs?

For Risk Adjustment Provider Educator jobs, the most frequently searched job titles are:

Infographic showing various Risk Adjustment Provider Educator job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 77% Full Time, 16% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $91,418 per year, or $44 per hour.

Risk Adjustment Provider Educator

Concord, NC

Millennium Physician Group
Health Care and Social Assistance • 1 - 5K employees

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Key responsibilities

  • Transforms raw data into actionable intelligence to prioritize provider education and risk adjustment initiatives.

  • Analyzes provider coding patterns, performs follow-up audits, and provides guidance on documentation and coding improvement strategies.

  • Builds relationships with clinical and clerical teams to ensure open communication regarding the Risk Adjustment program and its components.


Millennium Physician Group rating

6.3

Company rating: 6.3 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

672nd of 898 rated healthcare providers


Job description

Job Description Summary

Formed in 2008 and headquartered in Fort Myers, Florida, with offices in Florida, North Carolina, and Texas, Millennium Healthcare is the largest independent physician group in the state of Florida and one of the largest in the United States. At Millennium Physician Group, our employees are the foundation of our success. Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role
The Risk Adjustment Provider Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. This role will provide analytical interpretation of Risk Adjustment data to determine areas of focus and improvement opportunities. In addition, this role will facilitate and provide detailed analysis, reporting, training, education, and support to Providers and staff to

How will you make an impact & Requirements

Hours & Location:

Full Time: Monday-Friday

Hybrid position, travelling in Durham and Raleigh area

Responsibilities
Transforms raw data into actionable intelligence to prioritize provider education and risk adjustment initiatives.
Possesses a proven ability to analyze, report, and provide data insights.
Identifies documentation and coding improvement opportunities and gives guidance around best practice strategies in risk adjustment performance.
Analyzes provider coding patterns and performs follow-up audits post-education to track documentation and coding improvement.
Demonstrates knowledge and an ability to apply coding policies and guidelines to the provider documentation review process.
Possesses excellent attention to detail.
Stays current on applicable documentation guideline changes and rules.
Works effectively and efficiently within a team environment.
Adaptable to shifting priorities and demonstrates a willingness to do what it takes to meet team needs.
Understands and complies with policies and procedures for confidentiality of all patient records, HIPAA, and security of systems.
Promotes Millennium Physician Group's values.
Build relationships with the clinical and clerical teams to ensure open communication for questions concerning the Risk Adjustment program and its components
Demonstrate excellent guest service to internal team members and patients.
Perform other related duties as assigned.

Qualifications
Bachelor's Degree or equivalent work experience.
2+ years of experience in training program design and development
2+ years of experience in risk adjustment and ICD-10 coding in the Medicare Risk Adjustment environment
Certified Risk Adjustment Coder (CRC) or similar.
Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCC Risk Adjustment models.
Proven ability to analyze data, present results effectively through provider education, and monitor the effectiveness of the education provided.
Strong communication skills.
Intermediate Excel skills (Pivot tables, VLOOKUP, Advanced formulas, etc.) and data visualization skills.
Intermediate Microsoft PowerPoint skills with the ability to transform analytical output into simple-to-understand visuals.
In-depth knowledge of ICD-10-CM diagnostic coding.
Must have excellent time management skills, be highly organized, self-motivated.
Excellent customer service, problem-solving skills, and attention to detail.
The ability to follow through timely on tasks is essential.
Possess excellent written, verbal, and interpersonal communication skills.
Must possess initiative; tact; poise; neat personal appearance; and physical condition commensurate with the requirements of the position.
Project management of multiple initiatives with the ability to prioritize and meet deadlines.
Ability to work independently in a fast-paced, cross-functional environment.

Benefits:

  • 3 weeks PTO & 8 paid holidays

  • Medical, Dental, Vision

  • Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)

  • 401(k) with match

  • Employee Wellness

  • Other Employee Discount programs like Tickets at Work and cell phone discounts

  • Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

Why Millennium?

Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.

At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.

Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group.

If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice.

Compensation Range:

$77,417.00

to

$116,126.00

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.


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